, Volume 22, Issue 2, pp 195–197 | Cite as

A plea for the T2W MR sequence for pituitary imaging

  • Jean-François BonnevilleEmail author

To the Editor,

I am frequently called upon as a reviewer by endocrinology journals due to my experience in pituitary magnetic resonance (MR) image interpretation [1]. I feel compelled to highlight some continuing problems in image choice and quality that severely limits scientific analyses, despite the significant technological advances over the past decade. The principal problem- as I see it- is that at the sellar level, almost all images selected for figures are T1-weighted (T1W) images with gadolinium infusion, while T2-weighted (T2W) images are almost always absent. The performance of T2W MR has been improved enormously, particularly at 3.0 T, but also at 1.5 T. T2W images, if optimized, are frequently more informative and gadolinium enhanced T1W images can be spared in some conditions.

In contrast to the general rules for brain MR imaging, i.e. the use of a large number of sequences, pituitary gland MRI protocols need to be adapted to the clinical situation and a limited number of...



The author wishes to thank Adrian Daly, M.D. for his critical review of the language of this manuscript.


No funding was provided for this work.

Compliance with ethical standards

Conflict of interest

The author declares that he has no conflict of interest.

Ethical approval

This article does not contain any studies with human participants performed by the author.


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    Levine D et al (2018) Gadolinium retention after contrast-enhanced MRI. JAMA 320(18):1853–1854CrossRefGoogle Scholar
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    Potorac I et al (2017) T2-weighted MRI signal intensity as a predictor of hormonal and tumoral responses to somatostatin receptor ligands in acromegaly: a perspective. Pituitary 20(1):116–1206CrossRefGoogle Scholar
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    Faje A et al (2016) Immunotherapy and hypophysitis: clinical presentation, treatment, and biologic insights. Pituitary 19(1):82–92CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Departments of Endocrinology and Medical ImagingCentre Hospitalier Universitaire de LiègeLiègeBelgium

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